DIAGNOSTIC ACCURACY OF ALVARADO SCORE IN THE DIAGNOSIS OF ACUTE APPENDICITIS

Objective: The aim of this research work is to know about the detection precision of Alvara do score in the discovery of AA (acute appendicitis). Methodology: This research work carried out in Mayo Hospital Lahore . This research work started in January 2016 and ended in December 2017. This study covered duration of more than six months. One hundred patients of painful and swollen appendix engaged with the surgical team of this research for the evaluation of this disease with the positive use of Alvarado score. The participants provided particular scores in accordance with variable. They separated in two different groups; group one participant found with more than seven score and group two participants found with have less than seven score. All the patients from both groups operated if painful and swollen appendix detected with the help of medical diagnosis. Histopathology report was in use to confirm the detection after operation. + Predictive level, specificity & sensitivity assessed with the help of authentic system of scores. Results: One hundred patients were the part of this research work. There were sixty-five male patients and thirty-five were the female patients. At score > 7, painful and swollen appendix discovered in 53/54 patients. At scores < 7, the painful and swollen appendix discovered in 38/46 patients . + Predictive value was more than ninety-eight percent. The sensitivity was more than fifty-eight percent. Specificity was about ninety percent. Conclusion: Medical experience is very significance in the discovery of painful and swollen appendix. Alvarado score is very simple system of scoring with exact result and easy process.